Hemorragia Pós-parto / Postpartum hemorrhage

A hemorragia pós-parto (HPP) constitui a complicação obstétrica com maior índice de mortalidade materna em todo o mundo. Até 90% desses óbitos podem ser evitados com cuidado médico adequado. Este trabalho objetiva a atualização da classificação e diagnóstico da HPP com o intuito de tornar o conhecimento adequado quanto às medidas preventivas e a instituição da terapêutica em tempo hábil e de forma eficaz.

The postpartum hemorrhage (PPH) is the obstetric complication with the largest maternal mortality rate all over the world. Motivated by the estimate that up to 90% of those deaths could be avoided by appropriate medical care, this work aims at supplying the professionals in charge of the attendance of the delivering women general knowledge on how to proceed before HPP situation, reducing the maternal morbimortality. It is a bibliographical revision accomplished by scientific articles obtained through searches in portals recognized in the academic-scientific group that approaches some of the definitions of PPH accepted currently, its classification and diagnosis. The knowledge of the risk factors makes possible to the assistance team to take preventive measures and to be prepared to institute the therapeutic measures, in case it is necessary, in skilled time and in an effective way. It is hoped that the correct intervention in the cases leads to a reduction of the maternal morbimortality due to that condition, something not just desirable, but feasible.

Hemorragia pós-parto por atonia uterina: relato de caso / Postpartum hemorrhage due to uterine atony: case report

A hemorragia pós-parto representa emergência obstétrica que surge em 4 a 6% dos partos, constituindo-se uma das principais causas de morte materna. No pós-parto imediato, as etiologias mais frequentes são: a atonia uterina, a presença de lacerações do canal de parto, a retenção de restos placentários e os distúrbios de coagulação. Este artigo apresenta o relato de uma paciente com hemorragia uterina no pós-parto imediato, submetida a histerectomia subtotal devido à atonia uterina refratária ao tratamento clínico.

Postpartum hemorrhage (PPH) is an obstetric emergency that arises in 4 to 6% of births. It is a major cause of maternal morbidity. In the immediate postpartum period, the most common etiologies are: uterine atony; trauma-related bleeding due to lacerations of the birth canal, incisions or uterine rupture; retention of placenta remains; and coagulation disorders. This article is the case report of a patient with uterine bleeding in the immediate postpartum period, who underwent subtotal hysterectomy due to uterine atony not controlled with medical treatment.